Duck lips. What can I do to reverse the effect or correct it? (Photo)

Thank you for sharing your question and photographs, and I am sorry that your current results have not been what you anticipated..  Due to the thin nature of lip tissues they have a tendency towards swelling after dermal filler placement.  You will see that your results will improve over the next 2 weeks as they soften and become more natural.  Hang in there and allow your results time to mature.  Hope this helps.  

Hi @AnastasiaL! A few days of swelling after a lip augmentation is normal. If you are not happy with the results after two weeks, I recommend dissolving the product with Hylenex if a Hyaluronic Acid dermal filler was used. Best of luck, Dr. Nima!

After the injection of fillers for nonsurgical lip augmentation, swelling of the lips is not uncommon. When it occurs, it often takes about a week--sometimes even two weeks or so to go down. So, don't panbic. Should the duck lip (aka trout pout) look persist after that time, it can be quite easily and quickly treated with hyaluronidase to dissolve the hyaluronic acid fillers--which hopefully were used in this case.  Hylenex and Vitrase are the two forms of hyaluronidase currently available in the States. Treatment is very quick and over in literally about thirty seconds in experienced hands. The results are typically seen within the first few minutes up to a half an hour or so with occasional additional improvement seen over the next three days. Treatment may also be repeated a few days later, should further reduction be needed. Make sure you have been consulting with a board certified physician with experience and expertise in nonsurgical lip augmentation with fillers. And don't hesitate to ask to see his/her before and after photos before proceeding. Have a great remainder of the holiday weekend and best of luck. 

Hello,

Thank you for your question. You may want to wait a week or two before you decide to do anything. What your seeing may just be swelling. However if the swelling doesn't go down, there is a product called Vitrase that your doctor should be able to inject, and it will shrink the filler. Good luck!

I suggest waiting at least 2 weeks, swelling takes a long time to go down in the lips.  Best, Dr. Emer.

Since you were injected only three days ago, the swelling can still distort the overall result. If more injections were placed in the upper lip, this can lead to more swelling as well. Hope this helps. 

Thanks for your question, Anastasia. Swelling is normal after lip injections, which can make it look as if your lip lines are being affected. To see your full results, wait 10 to 14 days. At that point, you and your injector can make the best decision on how to proceed. Good luck! 

Hi. Thank you for your question and pictures. You are still very early post-procedure. Swelling may take up to two weeks to fully resolve. I recommend waiting at least two weeks to fully appreciate the end result. It does get better with time in most cases. After two weeks, you should follow up with your injector for a proper assessment if duck lips are still present. Good luck, 

Hi Anastasia

Its too soon to decide.I  would wait for  seven more days to make sure swelling  is gone  and if its still  duck lip shape then we can consider  hyaluronidase to  dissolve filler in those area that we dont want.Most of the cases it settles and you dont need hyaluronidase. Please keep us posted .Thanls 

Hi AnastasiaL,Three days is very early in the process. Depending on the type of technique that is used, you can have swelling that can last up to a week or at least the weekend. Therefore I wouldn't treat with hyaluronidase until the swelling settles out unless you want to have it all removed anyways. I have been pretty much using cannulas exclusively for 5 years now and the swelling and the days of swelling are much reduced versus serial injections with a standard needle. I also find it to be more accurate and less likely to cause lumps.Whichever way it is done, it is quite common to get swelling that goes beyond the lip line. Think of it like getting an injury anywhere. There is swelling that occurs outside the boundary of where the "action" took place.Lastly, it is quite hard to tell how "ducky" your lips are after the procedure since your photos show that you are clearly animating. Photos at rest with no expression with your lips gently pressed together and slightly apart give the best estimation of where you are.Have a nice day!Michael M. Kim, MD